Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 4, 2011

Recommendations for best practice of occupational therapy in stroke rehabilitation

How long to get this into clinics and hospitals? And where is the best practices for our neurologists and PMR docs?
http://gradworks.umi.com/34/63/3463273.html

Abstract:

Stroke is one of the leading causes of serious long-term disability in the United States. According to statistics from 1996, the American Occupational Therapy Association reported that clients following stroke are the single largest population seen by occupational therapists in their practice. Furthermore, motor impairment of the upper extremity is one of the most common of the stroke sequelae. There is a call within the profession of occupational therapy to improve the use of evidence-based practice amongst clinicians in all areas of practice including stroke rehabilitation. In order to assure that occupational therapy services being delivered are appropriate, effective, and efficient, outcomes research related to best practice interventions need to be established. However, multiple barriers have been identified which impede effective research utilization. This doctoral project sought to identify, analyze and synthesize the current evidence related to occupational therapy interventions, which address motor impairments of the upper extremity in clients following stroke The comprehensive literature review was used to establish best practice guidelines for occupational therapists working in stroke rehabilitation. The suggested program established as part of this doctoral project consisted of a comprehensive training module for occupational therapists based on adult learning theory; implementation of a standardized motor assessment to be used to guide evaluation and treatment of clients and to later assist with program evaluation; and a decision-tree to assist therapists with identifying the most appropriate intervention to be implemented with each client. These efforts will address some of the barriers identified in establishing evidence-based practice with the primary objective being to improve client outcomes and quality of life following stroke

No comments:

Post a Comment